Changing Lives Mental Health Foundations NC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANGING LIVES MENTAL HEALTH FOUNDATIONS NC

Practice address

905 Halstead Blvd
Elizabeth City, NC 27909-6986

Phone

(912) 247-9567

Fax

(804) 884-3702

NPI assigned

May 13, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Catrina Arnicka Banks, QMHP

Title

Owner

Phone

(912) 247-9567

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1386572857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES MENTAL HEALTH FOUNDATIONS NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_middle_name": "ARNICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-247-9567",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Roundtree Carver, LCAS-A
• Hunter Nicholas Case, PHARMD
• Payton Cavallo, RBT
• Tejwant Singh Chandi, MD
• Felicia Chang, M.D.
• Mary Catherine Chapley, FNP
• Clodia Jordan Chappell White, PA
• Susan L. Chappell, LCSW
• Jiabi Chen, MD
• Chesapeake Hospital Authority

• Mental Health Counselor in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.